Job Summary:

The Billing Executive is responsible for managing billing operations, including claim submission, payment posting, and follow-ups. The role requires a sound understanding of medical billing processes and compliance standards.

Qualifications:

v  At least bachelor’s degree or equivalent diploma (bachelor’s degree preferred).

v  1-2 years of experience in medical billing or related fields.

v  Proficiency in medical billing software and understanding of insurance protocols.

v  Strong problem-solving and communication skills.

Key Responsibilities:

v  Process and submit insurance claims with a high degree of accuracy.

v  Post payments, manage account adjustments, and reconcile balances.

v  Investigate and resolve denied or rejected claims promptly.

v  Follow up with insurance companies for timely claim processing.

v  Ensure compliance with coding standards (CPT, ICD-10) and payer-specific policies.

v  Address patient billing concerns and provide solutions.

Senior Billing Executive – Operations Department

Job Summary:

The Senior Billing Executive oversees the medical billing process, mentors junior staff, and ensures timely and accurate claim submission. This role involves handling complex billing tasks and implementing best practices for the department.

Qualifications:

v  At least bachelor’s degree or equivalent diploma (bachelor’s degree preferred).

v  3+ years of experience in medical billing.

v  Strong analytical skills and proficiency in resolving complex billing issues.

v  Ability to mentor and lead junior team members.

Key Responsibilities:

v  Handle escalated billing issues, including appeals for denied claims.

v  Monitor accounts receivable and recommend corrective actions.

v  Assist in training and guiding junior billing staff.

v  Generate and analyze billing reports to identify trends and optimize processes.

v  Maintain up-to-date knowledge of industry regulations and coding updates.